HomeMy WebLinkAboutPermit Mechanical 2009-10-30
'I
City Of Springfield
225 Fifth 8t
Springfield, OR 97477
Phone: 541-726-3753
.Email: p~rmi~center@ci.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00174
Approval Code: 096024 10/30/2009 10:5S am
E-mailedTo:jeanette-jco@comcast..net
Total
o New Construction
IR] Addition/alteration/replacement
I Description
001 or 2 family dwelling P Multi-family 0 Commercial
o Accessory
I First Appliance Fee
$79,00 I
1~?i;'~~OEjrSIT'ElrNF,ORMAifONffS.NDjEOCATiONl~~~~jJ
.r ,
Job Address: 2467 34TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I Sultefbldg.faptno.:
I Project Name: Mclndoo
[ Subtotal
I State surcharge (12% of permit
total)
I.TeChnology fee (5% of permit lotal)
I TOTAL PERMIT FEE
$79,00 I
$9.481
$3,95 I
$92,43 I
I'
Cross Street/directions to job site:
CC\ -\:J=\9
~ ID/3D/cA
Tax mapfparcel no.:
170~193101109
"
"
Installing ductless heat pump!:
I Name: Ed Mclndoo
I Phone: 541-746-1243
I Email:
Fax:
CCB lie. no.: 169209
Bu.lne.. Na,JIll'li!GE:
Contact: I HIS PERMIT SHAll EXPIRE IF Hte "unl\
';lri;/ ~ - ''--ciJ iii-iiJEIi THI3 l'EflMr.' 18--N61
Add.e..: 5729~1'~A1~~hD OR IS ABA.'lgQNE9 F{I~
C;tyJStateIZIP:~rllV"''f~fl-'h'A'V 'Wl!lIO n,
"
Phone: 5417467065
Fax: 5416891667
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set lorth
In OAR 952-001-001 0 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notlfloatlon
Center Is 1-800-&2.2344).
Email: jeohvac1@comcast.n~t_ ". i.',I'i;;;~;''t'" '~,.
, Metro lie. no.: City lie. no.:
Upon review and approval by' your local Jurisdiction, your permIt will be e-mailed or faxed
within one business day, with Instructions on howto schedule your Inspection.
NOTE: This Authorization To Begin Work expIres wlthln 180 days If a permit Is not obtained.
"
.The local building department ,'may determine that an Authorization. To Begin Woril: 15 null and
void If It does not meet applicable ,~and use laws and local ordinances.
.\h~O
r\'(y ,\\I
V t>..
~cY\
\\ ~~\y'
~~
Inspections Phone: 541,726,3769
,!his Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01599
ISSUED: 10/30/2009
APPLIED: 10/30/2009
EXPIRES: 04/30/2010
VALUE:
j
"
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"
SITE ADDRESS: :: 2467 34TH ST
ASSESSOR'S PARCEL NO.: 1702193101109
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Move
Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence
Owner: MCINDOO RAY EDWARD & CONNIE
Address: 2467 N 3'~TH ST
SPRINGFIELD OR 97477
Phone Number: 541-746-1243
I CONTRACTOR INFORMATION 1
Contractor Type.
Mechanical
Contractor
J COO INC
License
169209
BU~LDING INFORMATION I
Expiration Date
04/12/2010
Phone
541-746-7065
# of Units:
I.Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:,
Energy Path:
Sprinkled Building:
Lot Size:
, Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVE~OPMENT1NFORMATlON I'
REQUIRED PARKING
Frontyard Setback: Overlay Dist: 'ATTENTION: Oregon law rel'i8W~ you to
Side 1 Setback: # Street ~rees Rq'/ollow rules adopted by the 6~_
Side 2 Setback: Paved DrIVe Rqdf-Jotification Center. Those rultltJ~M forth
Rearyard Setback: % of Lot CoveralWOAR 952-001-0010 through OAR 952-001.
Solar Setbacks: 0090. You may obtain copies of the rules by
NOTICE' " _..lL.. \:",. __l1ler. (1IIlte.llellllej!llle:,;:.
~IS PE~'Ml "SHALL EXPIRE IF'THll'JlI!L~f IMPROVEMEtlIlffillrlrCfor the Oregon Utility NO)tificatlon
L, ~, . entar Is 1-800-332-2344 ,
Street O'PiW"R ~iJNDER THIS PERMIT \S NOT 'Siifewa klype: .
StornOOm'-li~~I€fR IS ABANDONED FOR Downspouts/Drains:
Speci'AIWlfsffmV'PERIOD. -
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
yalue,
Date Calculated
Page 1 of2
CITY OF ~rKll'ltyHELD I
Building/Combination Permit
PERMIT NO: COM2009-01599
ISSUED: 10/30/2009
APPLIED: 10/30/2009
EXPIRES: 04/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
$9.48
$3.95
$79.00
Date Paid
10/30/09
] 0/30/09
'10/30/09
Receipt Number
Fee Description
+ 12 % State Surcharge
+ 5% Technology Fee'
1st Appliance
Amount Paid
]20090000000000]216
1200900000000001216
1200900000000001216
Total Amount Paid
$92.43
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726~3769. All inspeCtions requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.,
Rec!,uired rnsnectio~s I
Rough Mechanica]: Prior to Cover
Final Mechanical: When all mecbanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withoul permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project,
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
, street, that the permit card is located aftbe fr~';t of the property, and the approved set of plans will remain on the site at all '
times during construction. ,.
Owner or Contractors Signature
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
(j
.Job/Journal Number_
COM2009-0 1599
COM2009.0 1599
COM2009-0 1599
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001216
Date: 10/30/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE J COO INC Online
Payment Total:
~ \~:, ,,'
Il':..' .
,
Page I of 1
II :23:04AM
Amount Due
79,00
3,95
9,48
$92.43
Amount Paid
$92,43
$92,43
10/30/2009